| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,273 |
3,128 |
$210K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,194 |
2,991 |
$187K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,988 |
1,897 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
855 |
706 |
$33K |
| 92015 |
Determination of refractive state |
4,484 |
4,253 |
$14K |
| 92341 |
|
137 |
123 |
$7K |
| V2020 |
Frames, purchases |
261 |
168 |
$1K |
| 92250 |
|
30 |
27 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
37 |
$1K |
| 92083 |
|
12 |
12 |
$615.93 |
| 92065 |
|
19 |
12 |
$537.17 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
19 |
12 |
$370.61 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19 |
12 |
$358.45 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
13 |
$44.00 |
| S9999 |
Sales tax |
18 |
18 |
$37.38 |